Individual
JACOB DAVID KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11285 CRICKET HOLW, SEMMES, AL 36575-6626
(251) 680-0090
Mailing address
11285 CRICKET HOLW, SEMMES, AL 36575-6626
(251) 680-0090
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
AL
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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